Form DSD DC 163. Medical Report - Illinois

Form DSD DC 163 - Medical Report serves as a report to provide medical information about an individual's physical or mental condition that may affect their ability to operate a motor vehicle safely.

This form is used by medical professionals to report an individual's medical condition and its potential impact on their ability to safely operate a motor vehicle.

Form Structure

This form involves medical professionals and the relevant authorities overseeing driver's licenses. It's structured with sections for providing the individual's personal information, medical condition details, diagnosis, and professional assessment of the impact on driving ability.

How to Fill Out and Submit the Form

Medical professionals who need to report an individual's medical condition and its impact on driving can complete this form by accurately providing medical information, diagnosis, and professional assessment. The completed form is typically submitted to the appropriate department or agency responsible for driver's license issuance and monitoring.

When completing the form, medical professionals should ensure that they provide accurate and thorough information about the individual's medical condition and its potential effects on their ability to drive safely. This form helps safeguard road safety by ensuring that individuals with medical conditions receive appropriate consideration and guidance.